Hospital Credit and Refund Specialist

3 weeks ago


Los Angeles, California, United States UCLA Health Full time
As the Credit and Refunds Specialist, you will be responsible for:

  • Reviewing inpatient and outpatient claims/balances to ensure maximum collection dollars by providing appropriate follow-up and documenting actions taken
  • Reviewing and processing refunds/credit balances in each liability bucket regardless of the services line and responding to correspondence and heavy telephone contact to ensure timely follow-up and account resolution
  • Performing all required duties within the patient accounting systems
  • Following refund and reimbursement procedures and, after researching credit balances
  • Prepare and process refund packets

Salary range:
$25.71-$36.

52/hourly
QualificationsWe are seeking a detail-oriented, diplomatic individual with:


  • A minimum of 2 years' experience in hospital/facility collections experience with strong emphasis on managed care contracts and appeals/underpayment collection activities
  • Strong analytical skills, proficient with spreadsheets
  • Knowledge of MS Word and MS Excel software
  • Knowledge of medical terminology
  • Knowledge of networks, IPA's, HMO's, PPO's and PCP's and contract affiliation
  • Knowledge of Revenue Codes, CPT, HCPCS, Diagnosis and Procedure Codes
  • Interpersonal skills, including the ability to interact diplomatically, but assertively with the public either on the telephone or in person


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